Individual
MR. RAUL ORLANDO SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1505 SUNNYVALE ST APT 117, AUSTIN, TX 78741-2549
(512) 947-3899
Mailing address
PO BOX 33021, AUSTIN, TX 78764-0021
(512) 947-3899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT046614
TX
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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